Tularemia outbreak reported in Artsvaberd, Armenia

An outbreak of the zoonotic bacterial infection, tularemia has been reported in Armenia, according to a Haqqin.az report (computer translated). According to the report, at least 20 people in the village of Artsvaberd in Tavush province were affected by the outbreak.

Armenia/ CIA

The report does not state how the villagers were infected.

Tularemia can be transmitted to people, such as hunters, who have handled infected animals. Infection can also arise from the bite of infected insects (most commonly ticks and deer flies); by exposure to contaminated food, water, or soil; by eating, drinking, putting hands to eyes, nose, or mouth before washing after outdoor activities; by direct contact with breaks in the skin; or by inhaling particles carrying the bacteria (through mowing or blowing vegetation and excavating soil).

Typical signs of infection in humans may include fever, chills, headache, swollen and painful lymph glands, and fatigue. If tularemia is caused by the bite of an infected insect or from bacteria entering a cut or scratch, it usually causes a skin ulcer or pustule and swollen glands. Eating or drinking food or water containing the bacteria may produce a throat infection, mouth ulcers, stomach pain, diarrhea and vomiting. Inhaling the bacteria may cause an infection of the lungs with chest pain and coughing.

Tularemia can be effectively treated with antibiotics. Untreated tularemia can lead to hospitalization and may be fatal if not diagnosed and treated appropriately.